| NPI | 1578248852 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LENESE STEPHENS Owner 301-844-1752 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 261QC1500X Clinic/Center, Community Health | |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
| Enumeration Date | 2023-06-15 |
| Last Update Date | 2023-11-13 |